Vidal Home Care Services, LLC

Primary specialty

Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X

Legal business name

VIDAL HOME CARE SERVICES, LLC

Practice address

510 N Broad St Apt 305
Philadelphia, PA 19130-4335

Phone

(267) 229-7556

NPI assigned

Aug 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kashan Pruitt

Title

Owner

Phone

(267) 229-7556

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1063246809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROCKY POOL LN",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551128",
            "telephone_number": "267-229-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N BROAD ST APT 305",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304335",
            "telephone_number": "267-229-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDAL HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "KASHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-229-7556"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Care Healthcare Services LLC
• Victory Medical of Pennsylvania PC
• Victory Vision Inc
• Vida Quard Transportation Inc
• Evan Vincent Vida, PSYD
• Alba Vidal Ronchas, MD
• Arianny Vidal, MA
• Daniel Vidal, LMT, CNS
• Joyce Videlock
• Michael Joseph Vido, MD, PHD

• Clinical Nurse Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Nurse Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.